Individual
CHARLOTTE HART CHAIKLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-1005
(352) 265-0651
(352) 265-0153
Mailing address
PO BOX 103204, GAINESVILLE, FL 32610-0001
(352) 265-0651
(352) 265-0153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME155193
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115440700
—
FL
Enumeration date
03/20/2019
Last updated
08/02/2023
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